# A. GEOFFREY ROUBIK DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518265925
- **Authorized official:** DR. ANDREW G ROUBIK DDS (DENTIST)
- **Authorized official phone:** (405) 848-6641

## Contact information

- **Practice address:** 3333 NW 63RD ST, SUITE:200, OKLAHOMA CITY, OK 73116-3722
- **Practice address phone:** (405) 848-6641
- **Practice address fax:** (405) 858-8663
- **Mailing address:** 3333 NW 63RD ST, SUITE:200, OKLAHOMA CITY, OK 73116-3722
- **Mailing address phone:** (405) 848-6641
- **Mailing address fax:** (405) 858-8663

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5032 | OK | Yes |

## Other

- **Enumeration date:** 03/09/2011
- **Last updated:** 03/09/2011